Vox Vitae | Newsletter | Dept. of Psychology UM School of Medicine

voxvitae
THE VOICE OF LIFE
Department of Psychiatry, University of Maryland School of Medicine
ISSUE 3, SPRING 2015
Greetings from the Chair
I would further like to acknowledge
the many efforts of the Department in
promoting diversity and education. The
...it is important to take a step back to review
all that has been accomplished.
Dear Colleagues:
First, I must take the time out to say –
what a relief it is that spring has arrived
and, with it, the promise of much
warmer weather.
As we welcome spring, we also
welcome the further development of
multiple initiatives, including the Clinical
Neurobehavioral Center (CNC); Center
for Translational Research on Adversity,
Neurodevelopment and Substance
abuse (C-TRANS); and the Maryland
Center of Excellence on Problem
Gambling. I would like to extend my
deepest gratitude to Drs. David Gorelick
and Eric Weintraub for helping to lead
the CNC; Dr. Diana (Denni) Fishbein of
C-TRANS; and Drs. Loreen Rugle and
Christopher Welsh, and Robert White
of the Maryland Center of Excellence on
Problem Gambling. In addition, many
thanks to the faculty and staff who
assist with the research, clinical and
administrative efforts of these centers.
23rd Annual Dana African American
Lecture, featuring Dr. Ezra Griffith of
the Department of Psychiatry, Yale
University, proved to be a super event
with a high turnout among faculty,
residents and staff. Thank you to all
who attended.
Finally, I encourage you all to take
a look at the various Department
accomplishments featured at the end
of this issue. As deadlines continue
to build, it is important to take a
step back to review all that has been
accomplished. Please continue to submit
your various endeavors, as they have
been a pleasure to read.
Until then, I remain,
Table of Contents
1 – Greetings from
the Chair
2 – CNC: Continued
Collaborations
4 – 23rd Annual
Dana African
American Lecture
5 – Mini-Med School
6 – Take Note!
10 – Save the Dates
With Very Best Wishes,
Bankole A. Johnson, DSc, MD,
MBChB, MPhil, FRCPsych, DFAPA
The Dr. Irving J. Taylor Professor and Chair,
Department of Psychiatry; Director, Brain
Science Research Consortium Unit (BSRCU)
1
The Clinical Neurobehavioral Center:
Continued Collaborations
Following the September 2014 formal opening ceremony, the Clinical Neurobehavioral Center (CNC);
Center for Translational Research on Adversity, Neurodevelopment and Substance abuse (C-TRANS);
and the Maryland Center of Excellence on Problem Gambling have been making ambitious headway
in continued collaborations.
of drug use through adolescence; and (3) the
mechanisms of behavioral change in response to
intervention. Center scientists and collaborators will
also be expanding their investigations to include
genetic and epigenetic factors.
CNC
Left to right: Dr. Bankole Johnson, Director; Dr. Eric Weintraub,
Medical Director; Dr. David Gorelick, Scientific Director
Bankole Johnson, DSc, MD, MBChB, MPhil,
FRCPsych, DFAPA, serves as the CNC Director,
and additional leadership includes Eric Weintraub,
MD, as Medical Director and David A. Gorelick,
MD, PhD, as Scientific Director. Staff includes
Sujey Velasquez, MD, Research Specialist;
Olusegun Adelaja, MBChB, Research Specialist;
Esther Makanjuola, CRN, Healthcare Provider;
and Maria Johnson, DMD, Research Manager.
C-TRANS
Left to right: Dr. Diana
(Denni) Fishbein,
Director; Dr. Emma Rose,
Assistant Professor
and neuroscientist
C-TRANS is directed by Diana (Denni) H.
Fishbein, PhD, a leading expert in the behavioral
and developmental neuroscience of risk behaviors.
C-TRANS focuses on three overall research
domains: (1) the psychosocial and physical
environmental influences on neurodevelopment
in children and adolescents; (2) the
neurodevelopmental precursors and consequences
2
Current research projects include a longitudinal
study of the neurodevelopmental precursors and
consequences of marijuana use and the role of
sleep disorders. Another study focuses on the
propensity to misuse alcohol in adolescents, based
on neurobiological functioning and interactions
between genetic markers and adverse experiences.
And, a third identifies the neurocognitive
mechanisms of behavioral change in response to an
evidence-based intervention in early childhood.
The University of Maryland
School of Medicine has the
natural infrastructure for
a community of scientists
and clinicians that can
uniquely apply capabilities
to translational research and
practice. – Dr. Fishbein
Importantly, C-TRANS also aims to transfer
knowledge from the basic sciences to practices and
policies that will improve child development, family
functioning and community scaffolding to leave
a significant and lasting impact. To translate the
research to practice/policy, Dr. Fishbein directs the
National Prevention Science Coalition to Improve
Lives (NPSC: www.npscoalition.org), comprised
of scientists, clinicians, educators, community
representatives, foundations and other experts.
“The University of Maryland School of Medicine
has the natural infrastructure for a community of
scientists and clinicians that can uniquely apply
capabilities to translational research and practice,”
said Dr. Fishbein. “Our short-term goals are to
connect with potential collaborators across the
School of Medicine, whose work and capabilities
can inform our translational research and agenda,
as well as to work on a local and national level
to disseminate reliable scientific findings for the
implementation of evidence-based interventions.”
The Maryland Center of Excellence on Problem Gambling
The Maryland Center of Excellence on Problem
Gambling stands as the third center, and is led
by Christopher Welsh, MD, as Medical Director;
Robert White, LCPC, as Director; Lori Rugle,
PhD, NCGC II, as Program Director; and other
crucial individuals.
This center aims to bridge the gap between
Maryland citizens with gambling problems,
which is proving to be increasingly essential.
Helplines, the education of addiction and mental
health counselors, and prevention efforts through
policy development and research are key in
addressing the impact of gambling and treating
gambling addictions. Under the direction of Kate
Tracy, PhD, and Patrick McArdle, PhD, of the
Department of Epidemiology, the center will study
the impact of gambling in Maryland and provide
critical information to policy makers.
Public awareness is further crucial to the goals
of the gambling center, which has implemented
and coordinated website campaigns, conferences
and fair exhibits, and youth programs piloted
in Baltimore City schools. The center’s recent
documentary, produced by MedSchool Maryland
Productions and also aired by Maryland Public
Television (MPT), Understanding Joy: The
Devastation of a Gambling Addiction, aimed to
increase awareness of gambling through personal,
real-life struggles.
“The Center of Excellence on Problem Gambling,
with the resources of the School of Medicine,
CNC and C-TRANS, is well poised to develop
and disseminate the most current evidencebased services to address addictions as a whole,”
summed up White, “and to provide information
for individuals and communities to make the best
informed choices regarding their opportunities.”
Left to right: Lori Rugle, PhD, NCGC-II, Program Director; Donna Gaspar, Program Administrator; Robert White, LCPC, Director, Behavioral
Health; Carl Robertson, MRE, MDiv, Prevention Manager; Jeffrey Beck, LPC, CCGC, JD, ABD, Clinical Director; Michael H. Rosen, MSW, LGSW,
NCGC I, Network Development and Helpline Coordinator; Eugenia W. Conolly, Director, Statewide Projects Office, Division Population Based
Public Health, Maryland Behavioral Health Administration; and Michael Hundt, Executive Director.
3
23rd Annual Dana African American
Lecture: Ezra Griffith, MD
In honor of Martin Luther King, Jr., the
Department of Psychiatry, University of Maryland
School of Medicine hosted its 23rd Annual Dana
African American Lecture on January 15, 2015.
Ezra Griffith, MD, Professor
of Psychiatry and AfricanAmerican Studies, Emeritus in
the Yale School of Medicine,
where he is also Deputy
Chairman for Diversity and
Organizational Ethics, and
Senior Research Scientist in the
Department of Psychiatry.
The featured speaker was Ezra Griffith, MD,
Professor of Psychiatry and African-American
Studies, Emeritus in the Yale School of Medicine,
where he is also Deputy Chairman for Diversity
and Organizational Ethics, and Senior Research
Scientist in the Department of Psychiatry. He has
held significant senior administrative leadership roles
throughout his career, and currently serves as the
Medical Director for the Connecticut Department
of Mental Health and Addiction Services.
During the lecture, Dr. Griffith presented “Personal
Storytelling and the Metaphor of Belonging,” and
spoke on the challenges of maintaining diverse
cultures and cultivating a sense of belonging in
various settings, particularly within the healthcare
context. He addressed that many leaders are so over
consumed with their own work, and they are unable
to venture beyond much else. Therefore, a diverse,
4
welcoming culture often falls by the wayside. To
counter this, Dr. Griffith encourages leaders to
spend time outside of their day-to-day activities to
mentor non-dominant groups to help them flourish.
Dr. Griffith has written close to 130 articles and
book chapters, many of which are within the subdisciplines of forensic and cultural psychiatry. He
has concentrated on narrative ethics as a point of
reference for forensic practitioners as well as on
performance narrative in forensic writing. He
has written several books, including Race and
Excellence: My Dialogue with Chester Pierce.
Dr. Griffith encourages leaders
to spend time outside of their
day-to-day activities to mentor
non-dominant groups to help
them flourish.
A sampling of his prestigious awards and honors
includes the Isaac Ray Award by the American
Psychiatric Association, and the Golden Apple
Award (2011) and the Seymour Pollack Award
(2005) by the American Academy of Psychiatry
and the Law.
Interested in a particular topic?
Want to nominate a faculty member
for a spotlight?
Please email Managing Editor Lisa Cleary at
[email protected] with suggestions.
Mini-Med School Teaches the
Baltimore Community About Research
in Addictions
By Shweta Das, graduate student for the Center for
Biomedical Engineering and Technology
Mini-Med School is an annual 5-week program
hosted by the University of Maryland School of
Medicine that provides a series of classes open to
the Baltimore area public. The free lectures are
taught by faculty physicians, who focus on topics
and healthcare issues that are important to many,
such as diabetes, heart health and even childhood
vaccinations.
Participants attending the sessions, which began
on September 10, 2014, do not need a medical
background. Each two-hour weekly session includes
dinner and features medical school-level health
lessons, which are delivered in lay speak, and are
split between two different physicians per session.
On September 24, marking midway of the 14th
Annual Mini-Med School, students had two
very exceptional lecturers. During the first hour,
attendees learned about arthritis, knee and hip
surgery from Department of Orthopedics Assistant
Professor Farshad Adib, MD.
During the second hour, nationally renowned
researcher, The Dr. Irving J. Taylor Professor and
Chair of the Department of Psychiatry, Bankole
A. Johnson, DSc, MD, MBChB, MPhil,
FRCPsych, DFAFA, taught about the genetics
behind addictions.
why alcoholism can occur in relation to a person’s
genetic history, and of the studies being done to
develop a way to better understand the genetic
aspect of alcoholism.
Kathleen Jackson, a Baltimore area resident,
brought her daughter Abigail and her friend to
the night’s lesson. A past attendee, Ms. Jackson
returned this year to learn more about the
interesting topics scheduled.
“It is fascinating to know what’s on the horizon and
to know there is treatment available for situations
like this,” she said.
By the end of the night, the audience was informed
of the real possibilities of medications for conditions
that affect millions, such as orthopedic conditions as
well as addictions.
The Mini-Med School is an opportunity for the
school to give back and become better acquainted
with the surrounding Baltimore community.
Faculty and area residents get to build personal
relationships at these workshops. The event also
gives the public a chance to learn more about
medicine, while feeling involved with the research
and advances that are happening within the medical
school in their home city.
To contact Shweta, please email her at
[email protected].
During the interactive lesson, most voiced their
thoughts that alcoholism was brought about by
someone’s personality, rather than by their genetic
history. As Professor Johnson explained, however,
addiction and alcoholism can be associated with
the roles of serotonin in the brain and other genetic
factors. The group learned more about how and
5
Take Note!
Department Accomplishments
Awards
William T. Carpenter, MD,
Professor and former Director,
Maryland Psychiatric Research
Center (MPRC), received the
Gerald E. Hogarty Excellence in
Schizophrenia Research Memorial
Award, and presented the Award Lecture on eight
paradigms for therapeutic discovery at the 31st
Annual Pittsburgh Schizophrenia Conference.
Robert W. Buchanan, MD, Interim Director of
MPRC, is a previous winner of the Hogarty Award.
Josh Chiappelli, MD, Academic Fellow,
MPRC (not pictured), has been selected for a
Young Investigator Travel Award for the 2015
meeting of the International Congress on
Schizophrenia Research.
Grants
Deanna Kelly, PharmD, BCPP,
Professor, MPRC, was awarded the
R56 Bridge Award, an R01 grant,
for “Microsystem Development
for Clozapine Monitoring in
Schizophrenia.” Dr. Kelly serves as
PI, and will be working with investigators to develop
lab-on-a-chip sensor technology to monitor clozapine
blood levels in real-time, freeing patients from
traditional blood draws or standard laboratory assays.
Peter Kochunov, PhD, Associate Professor (above,
left), Laura Rowland, PhD, Associate Professor
(above, middle), and Andrea Wijtenburg, PhD,
6
Instructor (not pictured), MPRC; and Stephen
Thom, MD, PhD, Professor, Department of
Emergency Medicine (above, right); have been
awarded a $200,000 grant, titled “Neurological
Decompression,” to work with Department of
Defense Air Force Investigators, Stephen McGuire,
MD, and Paul Sherman, MD. Together, the team
will research the neurological effects of subcortical
white matter injuries and the association of
increased risk of neurological depression sickness in
U2 (noncommercial) pilots.
Media Mentions
Teodor Postolache, MD,
Professor, was recently quoted by
The Washington Post in the article,
“When winter brings the blues:
How to treat seasonal affective
disorder, or SAD.”
Presentations
William T. Carpenter, MD (previously pictured),
gave an invited presentation on December 12,
2014, on informed consent and related issues to the
President’s National Commission on Bioethics. The
Commission is charged with addressing issues in
the new era of neuroethics.
Amy Drapalski, PhD, Clinical Assistant
Professor (above, left), Alicia Lucksted, PhD,
Associate Professor (above, middle), and Anjana
Muralidharan, PhD, Post-Doctoral Fellow
(above, right), VA VISN 5 MIRECC, presented the
symposium, “Ending Self-Stigma: A Skill Building
Approach to Reducing the Impact of Self-Stigma,”
at the 7th International Conference Together
Against Stigma: Empowering Community
Mental Health through Research, Practice, Policy
and Advocacy, at San Francisco, California in
February 2015.
Publications
Josh Chiappelli, MD, and colleagues of the MPRC
Neuroimaging Research Program (NRP) have a
manuscript in press: Chiappelli J, Rowland LM,
Wijtenburg SA, Muellerklein F, Tagamets M,
McMahon RP, Gaston F, Kochunov P, Hong
LE. Evaluation of myo-Inositol as a Potential
Biomarker for Depression in Schizophrenia.
Neuropsychopharmacology. 2015.
Richard W. Goldberg, PhD, Professor, VA VISN
5 MIRECC, co-authored an
article, “Strategies, barriers, and
motivation for weight loss among
veterans living with schizophrenia,”
in Psychiatric Rehabilitation Journal,
December 2014 edition.
Howard H. Goldman, MD, PhD, Professor,
co-authored an article, “State
Partnerships for First-Episode
Psychosis Services,” in Psychiatric
Services, online edition in January
2015; “Portraying mental illness
and drug addiction as treatable
health conditions: effects of a randomized
experiment on stigma and discrimination,” in
Social Science and Medicine, February 2015; and
“A Tale of Two States: Do Consumers See Mental
Health Insurance Parity When Shopping on State
Exchanges?” in Psychiatric Services, online edition in
March 2015.
Howard H. Goldman, MD, PhD (previously
pictured), Melanie Bennett, PhD, Associate
Professor (above, left), Robert W. Buchanan, MD,
Professor (above, middle), and Julie Kreyenbuhl,
PharmD, PhD, Associate Professor (above, right),
all from the Department of Psychiatry and
VA VISN 5 MIRECC, co-authored an article,
“Practical Monitoring of Treatment Fidelity:
Examples From a Team-Based Intervention for
People With Early Psychosis,” in Psychiatric Services,
online edition in January 2015.
Howard H. Goldman, MD, PhD (previously
pictured), Melanie Bennett, PhD (previously
pictured), and co-authors published an article,
“Implementing Coordinated Specialty Care for Early
Psychosis: The RAISE Connection Program,” in
Psychiatric Services, online edition in March 2015.
Seth Himelhoch, MD, MPH,
Associate Professor, VA VISN 5
MIRECC, co-authored an article,
“Trauma history in AfricanAmerican women living with HIV:
effects on psychiatric symptom
severity and religious coping,” in AIDS Care,
March 2015 edition.
Seth Himelhoch,
MD, MPH
(previously pictured),
Deborah Medoff,
PhD, Associate
Professor (left),
Julie Kreyenbuhl, PharmD, PhD (previously
pictured), VA VISN 5 MIRECC; Christopher
Welsh, MD, Center on Problem Gambling (above,
right); and co-authors published an article, “TwelveMonth Prevalence of DSM-5 Gambling Disorder
7
and Associated Gambling Behaviors Among Those
Receiving Methadone Maintenance,” in the Journal
of Gambling Studies, online edition in March 2015.
Peter Kochunov, PhD (previously pictured),
Elliot Hong, MD (above, left), Susan Wright,
PhD, Academic Fellow (above, middle), and
Binish Patel, BS (above, right), MPRC, were part
of an inter-consortia paper that was accepted
this period: Kochunov P, et al. Heritability of
Fractional Anisotropy in Human White Matter:
A Comparison of Human Connectome Project
and ENIGMA-DTI Data. Neuroimage. 2015
Mar 3. pii: S10538119(15)00151-2. doi: 10.1016/j.
neuroimage.2015.02.050. [Epub ahead of print]
Julie Kreyenbuhl, PharmD, PhD
(previously pictured), Deborah
Medoff, PhD (previously pictured),
and Clayton H. Brown, PhD,
Associate Professor, Department
of Epidemiology and Preventive
Medicine and VISN 5 MIRECC (left),
co-authored an article, “Factors associated with
shared decision-making preferences among veterans
with serious mental illness,” in Psychiatric Services,
December 2014 edition, as well as “Consumer
Satisfaction With Psychiatric Services: The Role
of Shared Decision Making and the Therapeutic
Relationship,” in Psychiatric Rehabilitation Journal,
online edition in February 2015.
Alicia Lucksted, PhD (previously pictured), and
Deborah Medoff, PhD (previously pictured),
VA VISN 5 MIRECC, co-authored an article,
“Stigma: a Unique Source of Distress for Family
Members of Individuals with Mental Illness,” in the
Journal of Behavioral Health Services Research, online
edition in August 2014, as well as “Race-related
differences in the experiences of family members
8
of persons with mental illness participating in the
NAMI Family to Family Education Program,”
in the American Journal of Community Psychology,
December 2014 edition.
Alicia Lucksted, PhD (previously pictured), and
Amy Drapalski, PhD (previously pictured), coauthored an article, “Interventions Targeting
Mental Health Self-Stigma: A Review and
Comparison,” in Psychiatric Rehabilitation Journal,
online edition in October 2014.
The patients of Teodor Postolache, MD (previously
pictured), have taught him that the biological,
physical and chemical environment can have good
or bad influences on the way we feel and behave.
He studies how the visible and UV light, the air we
breathe, the food we eat, and the perception of the
natural environment with our senses all affect our
brain and behavior, in addition to specifically how
they can trigger or improve depression and suicide
risk. His recently published papers are:
Byrne EM, Raheja UK, Stephens SH, Heath AC, Madden PA, Psychiatric
Genetics Consortium Major Depressive Disorder Working Group*,
Shuldiner AR, Mitchell B, Postolache TT. Seasonality shows evidence
for polygenic architecture and genetic correlation with schizophrenia and
bipolar disorder. J Clin Psychiatry, in press.
Cook TB, Brenner LA, Cloninger CR, Langenberg P, Igbide A, Giegling I,
Hartmann AM, Konte B, Friedl M, Brundin L, Groer MW, Can A, Rujescu
D, Postolache TT. “Latent” infection with Toxoplasma gondii: Association
with trait aggression and impulsivity in healthy adults. J Psychiatr Res. 2014
Sep 28. pii: S0022-3956(14)00286-6. doi: 10.1016/j.jpsychires.2014.09.019.
[Epub ahead of print] PubMed PMID: 25306262.
Rohan KJ, Mahon JN, Evans M, Ho S, Meyerhoff J, Postolache TT, Vacek
PM. (accepted). Randomized trial of cognitive-behavioral therapy vs. light
therapy for seasonal affective disorder: Acute outcomes. American Journal
of Psychiatry.
Uzoma HN, Reeves GM, Langenberg P, Khabazghazvini B, Balis TG,
Johnson MA, Sleemi A, Scrandis DA, Zimmerman SA, Vaswani D, Nijjar
GV, Cabassa J, Lapidus M, Rohan KJ, Postolache TT. Light treatment for
seasonal winter depression in African American vs Caucasian outpatients.
World Journal of Psychiatry, in press.
Zhang L, Evans DS, Raheja UK, Stephens SH, Stiller JW, Reeves G,
Johnson M, Ryan KA, Weizel N, Vaswani D, McLain H, Shuldiner AR,
Mitchell BD, Hueh Wen-Chi, Snitker S, Postolache TT. Morningness
associated with seasonality of mood in the Old Order Amish. J Affect Disord,
in press.
Eric Slade, PhD, Associate
Professor, VA VISN 5 MIRECC
(pictured), and Linda SimoniWastilla, BS Pharm, PhD,
School of Pharmacy, published
an article, “Forecasting Medicaid
expenditures for antipsychotic medications,” in
Psychiatric Services, online edition in March 2015.
James Waltz, PhD, Assistant
Professor, MPRC, recently
published a manuscript entitled,
“Probing the dynamic updating
of value in schizophrenia using a
Sensory-specific Satiety Paradigm,”
which is in press with Schizophrenia Bulletin.
Special Positions, Briefings, and Advisory Roles
Diana (Denni) Fishbein, PhD, Professor (below,
pictured on the second row, far right), was invited
to participate in the “Meeting of the Prevention
Economic Planning and Research (PEPR)
Network” at the White House on December 8-9,
2014, as part of a “Building the Science of Investing
in Healthy Development” national initiative,
headed by Duke University.
Dr. Fishbein was invited to represent her
translational research on elucidating the
neurodevelopmental effects of adversity in high
poverty neighborhoods and the potential to
reverse the damage with targeted evidence-based
interventions. Dr. Fishbein is Director of the
Center for Translational Research on Adversity,
Neurodevelopment and Substance abuse
(C-TRANS) at the University of Maryland School
of Medicine, as well as Director of the National
Prevention Science Coalition to Improve Lives.
Bankole Johnson, DSc, MD, MBChB, MPhil,
FRCPsych, DFAPA, The Dr. Irving J. Taylor
Professor and Chair (above, pictured second from the
left), was appointed as a member of the Heroin and
Opioid Emergency Task Force by Governor Larry
Hogan and Lieutenant Governor Boyd Rutherford.
The team is comprised of law enforcement, elected
officials and substance abuse experts, and will meet
regularly to address Maryland’s growing heroin and
opioid crisis.
Photo reprinted from http://governor.maryland.gov/2015/02/24/
governor-hogan-lt-governor-rutherford-establish-marylandheroin-and-opioid-task-force-and-coordinating-council/.
For more information, please visit the same link.
9
Save the Dates
June 3, 2015
Telemental Health Conference
11:00 am – 1:30 pm, Westminster Hall
Speaker: Peter Yellowlees, MD,
Professor of Clinical Psychiatry at the
University of California, Davis.
Learn about future directions in
Telemental Health, innovations in
Telemental Health technology and
service delivery, and new Telemental
Health initiatives at UMB.
July 10-11, 2015
The 29th National Conference on
Problem Gambling
Located at the Hilton Baltimore Inner
Harbor, and hosted by the Maryland
Council on Problem Gambling and
the Maryland Center of Excellence on
Problem Gambling.
For more information, visit
http://www.ncpgambling.org/trainingcertification/national-conference/.
To register, email Larraine Bernstein
at [email protected] by
May 27.
June 4, 2015
17th Annual Rachel Gundry
Visiting Professor
An innovative teaching experience
with medical students, house-staff and
faculty. A generous bequest from Dr.
Gundry will honor prominent women in
mental health, enabling them to come
to the University of Maryland to enrich
teaching programs.
Submissions? Questions? Comments?
Please send them our way!
Vox Vitae, Voice of Life, is a Department of
Psychiatry newsletter, and is a collaboration between
the University of Maryland School of Medicine and
the University of Maryland Medical Center, 110 S.
Paca Street, 4th Floor, Baltimore, MD 21201.
Managing Editor: Lisa Cleary, MS;
[email protected]
Consulting Editor: Vertell Porter-Brown;
[email protected]
Associate Editor: Annabelle (Mimi) M.
Belcher, PhD; [email protected]
10